ATI RN
Infection Control Nursing Questions
Question 1 of 5
A nurse is setting up and assisting in a sterile surgical procedure. According to the principles of surgical asepsis, the nurse understands that which of these statements is correct?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. The tray is considered unsterile if a blood-soaked gauze from the patient is placed back onto it. 2. This action contaminates the tray, breaking the sterile field integrity. 3. Maintaining sterile technique is crucial to prevent infections during surgery. 4. Any breach in sterility increases the risk of introducing harmful microorganisms. 5. Therefore, ensuring that contaminated items are not placed back on the sterile field is essential. Summary: - Choice A is incorrect as only the center of a sterile field is considered sterile, not the edges. - Choice C is incorrect as the skin cannot be made completely sterile, but it should be cleaned and disinfected. - Choice D is incorrect as any instrument that is held out of view should not be considered sterile due to potential contamination risks.
Question 2 of 5
A nurse is preparing discharge instructions for an 89-year-old client with a stage 4 pressure injury on his coccyx. The caregiver has been trained on wound dressing changes and cleansing. The caregiver asks the nurse how they can prevent infection in the wound. Which answer by the nurse is most appropriate?
Correct Answer: D
Rationale: The correct answer is D: “Wear gloves and use the sterile or aseptic supplies provided to you when changing the client’s dressing.” This answer is correct because wearing gloves and using sterile supplies help prevent introducing harmful bacteria into the wound, reducing the risk of infection. Gloves provide a barrier to protect both the caregiver's hands and the wound from contamination. Sterile supplies minimize the introduction of pathogens into the wound, promoting healing and preventing infection. A: “Change the wound dressing only once a day.” - This answer is incorrect because the frequency of dressing changes should be based on the healthcare provider's instructions and the wound's condition, not a fixed schedule. B: “Use protective eyewear while changing the wound dressing.” - While protective eyewear is important in certain situations, it is not directly related to preventing wound infection in this context. C: “Pressure injuries rarely cause infections to worry about.” - This answer is incorrect because all wounds, including pressure injuries, are susceptible to infection
Question 3 of 5
A nurse begins to prepare a client for surgery. The surgeon has not yet obtained informed consent with the client; however, the operating room team has asked that the client be ready to transport to the surgical suite within the hour. Which of the following actions would be the least appropriate?
Correct Answer: A
Rationale: The correct answer is A: Ask the client to remove her hearing aid. This is the least appropriate action because removing a hearing aid does not affect the client's safety during surgery. The rationale is that hearing aids do not pose a risk in the operating room and are not typically removed for surgery. Removing contact lenses and offering glasses (B) is important to prevent eye injury during surgery. Ensuring the client wears a wristband with identification details (C) is crucial for patient safety and proper identification. Asking a family member to collect and keep jewelry (D) is important to prevent loss or damage during surgery. In summary, the removal of a hearing aid is not necessary for surgery preparation, unlike the other choices which are crucial for patient safety and proper care during the surgical process.
Question 4 of 5
A nurse is teaching a client how to use a walker for the first time. Place the following steps in the appropriate order:
Correct Answer: A
Rationale: The correct order is A. Placing both hands on the handles first ensures proper grip and stability. This step is crucial for maintaining balance and control while using the walker. Steps B and D follow after establishing a stable grip to ensure proper weight distribution and prevent falls. Step C is last as moving the walker forward should only be done after securing a firm hold on the handles to avoid accidents.
Question 5 of 5
The nurse has received a report from the emergency department that a patient with tuberculosis will be coming to the unit. Which items will the nurse need to care for this patient? (Select all that apply.)
Correct Answer: B
Rationale: Step-by-step rationale: 1. Tuberculosis is an airborne disease, so negative-pressure airflow is needed to prevent the spread of infectious particles. 2. Negative-pressure rooms prevent contaminated air from escaping, reducing the risk of transmission. 3. Private room alone may not be sufficient to contain airborne pathogens. 4. Choice C includes standard precautions, not specific to tuberculosis. 5. N95 respirator is not necessary for routine care of tuberculosis patients. Summary: The correct answer is B because negative-pressure airflow in the room is essential to prevent the spread of tuberculosis. Other choices do not specifically address airborne precautions for this disease.